We report two patients who showed distinctive and contrasting patterns
of performance relating to their ability to remember new facts. A pat
ient who sustained a missile injury to the mammillary bodies four year
s previously was left with a marked memory disorder. He nevertheless s
howed evidence of having acquired long-term factual knowledge-e.g. he
accurately recalled information about Norman Schwarzkopf-in spite of s
evere deficits on a matched test of name-occupation learning that was
administered as a standard paired-associate learning test. By contrast
, a patient who suffered bilateral non-medial temporal lobe pathology
10 years previously showed the reverse pattern of performance-he could
not identify names such as Norman Schwarzkopf, but he performed well
on the matched name-occupation learning test. These data point to two
anatomically distinct and functionally dissociable long-term fact lear
ning mechanisms, one that is primarily subserved by limbic-diencephali
c structures and one that is primarily based in the neocortex.